| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,025.60 | $10,715.19 | $17,782.79 | |
Kaiser Permanente
| Professional | $141.25 | $398.11 | $1,698.24 | |
Lucent Health
| Facility | $6,025.60 | $33,884.42 | $33,884.42 | |
Lucent Health
| Professional | $3,981.07 | $3,981.07 | $3,981.07 |